Sakakura T, Ikeuchi T, Watanabe H
Department of Urology, Nagoya City Johsai Hospital, Japan.
Hinyokika Kiyo. 1996 Mar;42(3):221-3.
A 54-year-old male was referred to our outpatient clinic because of milky urine. He had lived in Kumamoto, an area of endemic filariasis. There were no microfilaria found in his blood smear. Lymphangiography showed dilation of the retroperitoneal lymphatics and bilateral renal refluxes. The thoracic duct was obvious. The initial treatment consisted of irrigating the bilateral renal pelvis with silver nitrate solution, but was not successful and recurrent acute urinary retention developed. Therefore, we performed stripping and ligation of the bilateral renal lymphatics. Chyluria disappeared immediately after surgery. The etiology and various treatments for chyluria are discussed.
一名54岁男性因乳糜尿转诊至我院门诊。他曾居住在丝虫病流行地区熊本。其血液涂片未发现微丝蚴。淋巴管造影显示腹膜后淋巴管扩张及双侧肾反流。胸导管明显。初始治疗包括用硝酸银溶液冲洗双侧肾盂，但未成功，且出现复发性急性尿潴留。因此，我们对双侧肾淋巴管进行了剥脱和结扎。术后乳糜尿立即消失。本文讨论了乳糜尿的病因及各种治疗方法。
